- Diabetic Medical Supplies:
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- Quantity Limit: limit maximum 8 EA PER 30 day(s)
- Quantity Limit: limit maximum 56 EA PER 365 day(s)
- PA Required
- May be covered under Medical Benefit.
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